Individual
MS. KRISTINA MARIE LAUDERBACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSS, MLSP, L.C.S.W
Contact information
Practice address
70 MAIN ST, PORTER, ME 04068-3527
(207) 625-8126
Mailing address
70 MAIN ST, PORTER, ME 04068-3527
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC18460
ME
Other
Enumeration date
11/15/2012
Last updated
02/07/2024
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